Article

OBJECTIVE: To determine the association of enteral nutrition (EN) with patient
preinjury and injury characteristics and outcomes for patients receiving
inpatient rehabilitation after traumatic brain injury (TBI). DESIGN: Prospective
observational study. SETTING: Nine rehabilitation centers. PARTICIPANTS: Patients
(N=1701) admitted for first full inpatient rehabilitation after TBI.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: FIM at rehabilitation
discharge, length of stay, weight loss, and various infections. RESULTS: There
were many significant differences in preinjury and injury characteristics between
patients who received EN and patients who did not. After matching patients with a
propensity score of >40% for the likely use of EN, patients receiving EN with
either a standard or a high-protein formula (>20% of calories coming from
protein) for >25% of their rehabilitation stay had higher FIM motor and cognitive
scores at rehabilitation discharge and less weight loss than did patients with
similar characteristics not receiving EN. CONCLUSIONS: For patients receiving
inpatient rehabilitation after TBI and matched on a propensity score of >40% for
the likely use of EN, clinicians should strongly consider, when possible, EN for
>/=25% of the rehabilitation stay and especially with a formula that contains at
least 20% protein rather than a standard formula.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS